Provider Demographics
NPI:1003047325
Name:LOOKA, LANE D (FNP)
Entity type:Individual
Prefix:
First Name:LANE
Middle Name:D
Last Name:LOOKA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15217 S PADRE ISLAND DR STE 210E
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6196
Mailing Address - Country:US
Mailing Address - Phone:361-281-3294
Mailing Address - Fax:361-229-3271
Practice Address - Street 1:15217 S PADRE ISLAND DR STE 210E
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6196
Practice Address - Country:US
Practice Address - Phone:361-281-3294
Practice Address - Fax:361-229-3271
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO165719163WE0003X
TX651431163WE0003X
COAPN.0010074-NP363LC0200X, 363LF0000X
CONP 10074363LF0000X
TX1087481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine